CLIA lab
CLIA 05D0691462: Golden State Dermatology
Walnut Creek, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0691462 belongs to Golden State Dermatology in Walnut Creek, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 7, 2024, expires November 6, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- November 7, 2024
- Certificate expiration
- November 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0691462
- Lab name
- Golden State Dermatology
- Additional name
- Associates Inc
- Address
- 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598
- Phone
- (925) 945-7005
- Fax
- (925) 236-2784
Annual test volume the lab reported
- Provider-performed microscopy tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anthony Bernens, MD A Div of Bass Med GroupCertificate of Waiver, Physician office05D2098537
- Aspen Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center05D1076006
- Athome Healthcare Team-East Bay, LLCCertificate of Waiver, Home health agency05D2163719
- Balanced Pain ManagementCertificate of Waiver, Physician office05D1085771
- Barry Rotman, MD, IncCertificate of Waiver, Physician office05D1078781
- Bass Cancer Center, A Division of Bass Medical GroCertificate of Waiver, Independent05D2298440
- Bay Area Retina AssociatesCertificate of Waiver, Physician office05D1069402
Related
Questions
What is the CLIA number for Golden State Dermatology in Walnut Creek?
05D0691462, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0691462 expire?
The CMS file lists November 6, 2026 as the certificate expiration date; the certificate took effect November 7, 2024.